Individual
MISS ADRIANNA C BACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 718-5800
(973) 939-4216
Mailing address
37 MINNISINK RD, TOTOWA, NJ 07512-1927
(973) 897-2622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
25MP00790400
NJ
Other
Enumeration date
06/09/2023
Last updated
09/13/2023
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